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Individual

MR. CHAD M. JEFFERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
701 E MARSHALL ST, CHESTER COUNTY HOSPITAL, EMERGENCY DEPARTMENT, WEST CHESTER, PA 19380-4412
(610) 431-5150
Mailing address
PO BOX 425, LEDERACH, PA 19450-0425
(800) 528-0006

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C50000393
DE
363A00000X
Physician Assistant
Primary
MA051047
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000028568
DE
Enumeration date
06/28/2006
Last updated
09/07/2011
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